Individual
MR. BRIAN ROBERT HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5815 BLAKENEY PARK DR STE 200B, CHARLOTTE, NC 28277-5734
(704) 316-5080
(704) 316-5085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09127
NC
Other
Enumeration date
05/09/2019
Last updated
02/06/2023
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